HomeMy WebLinkAboutSubcontractor Agreement/revised PERMIT# t ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
a r '
- T,w BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
11��Company Name/Individual Name)
the Y 1 l>o,L' o aa_� Sub-contractor for Q }2
(Type of Trade) (Prinlary Contractor)
For the project located at I-Z 3 Q Q�- n �eAn Ya C+
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
(21tvl�
CO TRACTOR SIGNATURE(Qvalifier) - ONT C OR SIGN URE(Qualifier)
PRINT NAME PRINT NAME r4 ^ 1 t '
f'Q l t o 87,8 F-9 (2AUD� -%+l_09
COUNTY CERTIFICATION NUMBER
/� COUNTY CERTIFICATION
NUMBER
State of Florida,County of_54. L i� State of Florida,County of �79 .U-1-co—
The foregoing
-instrument
�was signed before me this � day of The foregoing instrument was signed before me this Z(2 day of
2Yh D�YI 20Lu by �� cC 20�by a(rq Z m
who is personally known_or has produced a who is personally known Zr has produced a
�q;z
as i tiFcation.
TAMSTAMP STAMP
nature of Not Public Sg
nature of Not ublic
Print Name of NotaV Public Print Name of Ndkary Public
Notary Public State of Florida
Tracey R Mascola
y My Commission GG 958134 ,art Notary Public State of Florida
9j Expires 04/26/2024 +� Tracey R MascoFa
or My Commission GG 958134
Revised I l/1 Va Expires04M=024
PERMIT# _0 / ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
any Name i dividual Name)
the Sub-contractor for V
(Type of Trade) (Pri ary Contractor)
For the project located at �a"a"
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CON RA TOR SI ATURE(Qualifier) CTOR SIGNATURE(Qualifier)
Lei
PRINT NAME PRINT NAME
1 1.C� mac..
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of S-T L C-167 State of Florida,County of too 1�;t c l-e c
T``he,,foregoing instrument was signed before
me t!this 27 8ay of The foregoing instrument was signed before me this day of
/V V 20o_w by / 7�G�- 'L L`/ 20�by f Iry�1G1� Q Q.t`J1
who is personally known?Lor has produced a who is personally known✓or has produced a
as ide icatiou. as identification.
NA__STAMP STAMP
ignature of Notar P blic ignatur of Notary Public
��lY► �T SIM10fic ��u
Print Name of Notary Public Print Name of Notary Public
Notary Public State of Florida
a9 Kimla J.Simone SUZANNE COLLINS
MY Commission GG 957803
Expires o511812024 ~Rt IJIY COMMISSION#GG289441
? ��s BORES:FEB 24,2023
Revised 11/16/2016 1P 9 Bonded throw h 1st State Insurance
PERMIT# 9/jISSUE DATE
�I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Ed's Electric Inc have agreed to be
(Company Name/Individual Name) r
the Electrical Sub-contractor for `-'`�,J� i✓ �pl S
(Type of Trade) (Primary Contractor)
For the project located at r � t( (Q ?,�Qk = C,�
(Project Strdet Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CO RA O SI. AT ualifier) SUB-CONTRACTOR SIGNATURE liner)
Edward June
PRINT NAME PRINT NAME
1910 °10892
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of L • C� e' State of Florida,County of-St Lucie
The foregoing instrument was signed before me t) day of The foregoing instrument was signed before me this day of
Dv�1be! 20'S by i C16 0.4 L���� &2 20,&e.rha,
who is personally known)(—or has produced a who is personally known produced a
a identification. as i entification.
%JAAI�
STAMP qatoj,�__ AMp
Si na a of Notary Pu 'c
g rY S19nature of Not Pu He
0, } '� Stacey Garcia
Print me at Print Name of Notary Public *& >?
���ppY PV��4 LILLIAN S. SHEPHERD
♦1 i
�O
_r Notary Public-State of Florida
EllQ Commission# GG 938814 F g
.�? .�d'P: My Commission Expires y 2
n��t`` December 14, 2023 . IE
Revised 11/16/2016